Effects of yoga on anxiety, pain, inflammatory and stress biomarkers in patients undergoing cardiac surgery: a systematic review and meta-analysis

Chandrababu, Ramesh, Ramesh, Jyothi, Jagadeesh, Nalini Sirala, Guo, Ping, Reddy, Gajjela Govardhan and Hayter, Mark ORCID: https://orcid.org/0000-0002-2537-8355 (2023) Effects of yoga on anxiety, pain, inflammatory and stress biomarkers in patients undergoing cardiac surgery: a systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 53. 101798. ISSN 1744-3881

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Official URL: https://doi.org/10.1016/j.ctcp.2023.101798

Abstract

Background: The most common surgical method of managing coronary artery disease is coronary artery bypass grafting (CABG). Stress, anxiety, and pain are commonly identified postoperative symptoms and are closely correlated to patient recovery. Objective: The purpose of this review was to investigate the effects of yoga interventions on anxiety, pain, inflammatory and stress biomarkers in CABG surgery patients. Methods: and analysis: The databases PUBMED, The Cochrane CENTRAL, EMBASE, CINAHL, Scopus, and Web of Science were comprehensively searched from the inception to December 2022. The quantitative research studies that evaluated the effects of yoga on anxiety, pain, inflammatory and stress biomarkers in CABG patients were included. This systematic review and meta-analysis followed the Cochrane guidelines and is reported using the PRISMA checklist. The RevMan 5.4 software was used for the meta-analysis. Results: Seventeen studies met the inclusion criteria, representing 1227 patients with a mean age of 58 years. All studies have reported that yoga interventions significantly reduced anxiety, pain, inflammatory and stress biomarkers in the experimental group compared to the control group. According to the GRADE criteria, moderate quality of evidence was found on effects of yoga intervention in CABG surgery patients. Conclusion: Yoga has been shown to benefit patients undergoing CABG surgery. It can be used as an adjunctive intervention. However, more rigorous randomized controlled trials are required to generate high-quality evidence for yoga interventions. Registration: PROSPERO CRD42020175833.

Item Type:	Article (Article)
Peer-reviewed:	Yes
Date Deposited:	16 Oct 2023 10:40
Publisher:	Elsevier
Additional Information:	This is an Accepted Manuscript of an article which was published in final form in Complementary Therapies in Clinical Practice, published by Elsevier. © 2023. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
Divisions:	Faculties > Health and Education Research Centres > Health, Psychology and Communities
Subject terms:	Anxiety, Cardiac surgical procedures, Inflammatory markers, Pain, Postoperative care, Quality of life, Stress biomarkers, Yoga, 1104 Complementary and Alternative Medicine, 1110 Nursing, Complementary & Alternative Medicine
URI:	https://e-space.mmu.ac.uk/id/eprint/632711
DOI:	https://doi.org/10.1016/j.ctcp.2023.101798
ISSN	1744-3881
e-ISSN	1873-6947

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